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Texas rates for HCPCS 95783

Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by a technologist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.37 / $2,062.00 / $5,765.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.94 / $1,029.19 / $1,433.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.11 / $2,320.12 / $4,289.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.62 / $737.63 / $1,368.19
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.26 / $1,719.56 / $2,898.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.85 / $1,024.83 / $1,024.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.80 / $932.45 / $2,055.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.89 / $1,349.10 / $2,086.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,991.59 / $5,572.13 / $5,572.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,397.70 / $6,397.70 / $8,712.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.54 / $1,080.38 / $1,658.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.06 / $1,528.75 / $2,093.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.68 / $1,177.75 / $2,204.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.02 / $1,080.38 / $1,680.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.60 / $1,423.70 / $2,605.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.41 / $1,124.73 / $1,813.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.77 / $997.23 / $1,356.74